Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Martinsburg, WV: $40.48

Avg. Paid

$40.48

Range

$0.00 – $229.68

Total Claims

523,147

Providers

197

Typical Payment Range

Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.

Based on per-provider averages across all Medicaid claims in this category.

A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Office Visit in Martinsburg, WV

Provider	Avg. Paid	Claims	Patients
Eleanor Gooch 2000 Foundation Way	$53.27	13	13
Hafiz Muhammad Zubair 2000 Foundation Way Ste 3300	$21.31	13	13
Shanda Nicole Wheat 99 Tavern Rd	$0.00	13	13
Nilay Bhasker Thaker 484 Williamsport Pike # 151	$108.97	14	13
Neurology Center Of Excellence 1004 Tavern Rd	$61.11	14	12
Ali Asghar 510 Butler Ave	$32.71	14	13
Richard Luther Rauch 123 Health Care Ln.	$12.53	14	12
Hannah Marie Mckeever 61 Campus Dr Ste 200	$43.80	15	13
Amanda Rachael Sanders 97 Administrative Dr	$35.01	18	15
Kimberly Anne Saul 3 Ceritos Trl	$46.49	20	16
Annie Marie Thrift Mann 120 Campus Dr Ste 101	$41.37	25	24
Chan Dong Park 1002 Sushruta Dr	$35.11	25	24
Camille Evette Dantzler 2500 Hospital Dr	$19.85	28	27
Jane Gerke Park 1002 Sushruta Dr	$43.90	28	26
Emma Morton-Eggleston 880 N Tennessee Ave Ste 110A	$33.37	30	28
Erik B Hurst 1000 Sushruta Dr	$50.31	35	28
Panhandle Podiatry Pllc 489 Mid Atlantic Parkway	$69.67	35	27
Omar Nadra 2000 Foundation Way Ste 3100	$20.87	40	34
Stephanie R Mabie 156 Health Care Ln	$15.61	42	41
Richard Franklin Sutherland 1000 Sushruta Dr	$87.92	46	43
Jennifer Moran 120 Campus Dr	$41.17	50	44
Shanna Mae Naomi Mastrangelo 5187 Arden Nollville Rd	$91.36	53	49
David L Fishkin 2010 Doctor Oates Dr	$38.49	57	50
Kidney Specialists, Pllc 176 Health Care Ln Ste A	$34.52	57	39
Violeta Gonzalez 99 Tavern Rd	$46.06	57	45
Stephanie Ann-Fogle Mcmillan 99 Tavern Rd	$0.00	59	59
Dan Phuong Nguyen Spring Mills Medical Office	$19.57	60	58
Jana Denise Brannon 99 Tavern Rd	$1.01	66	59
Sylvia S Cruz 215 South Louisiana Avenue	$131.75	66	60
Vishal Gupta 880 N Tennessee Ave Ste 104	$20.80	66	60
Gnima Diaw 99 Tavern Rd	$0.00	74	72
Jonathan M Hartiens 94 Old Mill Rd	$48.95	77	40
Yarisvett Rosa Rivera 99 Tavern Rd	$59.48	88	88
Essence Of Beauty Health And Wellness Llc 220 Station Ter W	$83.20	88	86
John Joseph Thomas 2000 Foundation Way Ste 2200	$22.81	89	71
James Carrier 120 Campus Dr Ste 221	$51.37	91	87
Karolyn Shirley Gable 1004 Sushruta Dr Ste A	$17.49	95	83
Tiffany Lynn Heerd 215 S Louisiana Ave	$95.09	99	92
Liseli Whitly James 120 Campus Dr	$19.33	101	72
Sonia Nasery 1004 Sushruta Dr Ste A	$32.65	101	91
Roberto Cisneros Reyna 65 Health Care Ln	$40.27	104	99
Tammy Grove Hamilton 1000 Tavern Rd	$63.31	108	93
Mohamed K Barry 61 Campus Dr Ste 104	$78.60	116	109
Diana Marilyn Gaviria 800 Emmett Rousch Dr	$79.31	133	120
Charter Dermatology Pllc 1008 Tavern Rd Ste 201	$65.04	133	131
Carrie L King 2000 Foundation Way Ste 3650	$30.73	137	130
Douglas Scott Tice 309 Medical Ct	$34.82	142	130
Arash Hassantoufighi 176 Health Care Ln	$71.15	143	127
Michele M Sheetz 99 Tavern Rd	$20.65	151	136
Janet Lynn Mcguire 1741 Williamsport Pike	$9.50	152	136

What to Expect: Office Visit

A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code	Description	Avg. Paid	Claims	Providers
99213	Office visit established mod	$43.18	764,306,590	487,602
99214	Office visit established mod-hi	$59.53	502,480,931	466,856
99212	Office visit established low	$41.69	92,299,154	127,462
99203	Office visit new moderate	$67.55	47,756,882	127,334
99211	Office visit established minor	$39.24	44,127,221	47,748
99204	Office visit new moderate-high	$92.03	32,379,031	111,937
99215	Office visit established high	$93.58	29,619,773	74,725
99202	Office visit new low	$58.57	9,372,712	35,486
99205	Office visit new high	$136.10	3,665,382	19,737
99244	Office consultation mod-high	$118.25	3,405,681	11,884
99243	Office consultation moderate	$78.55	2,585,480	8,432
99245	Office consultation high	$132.29	645,300	3,046
99242	Office consultation low	$58.27	483,445	1,980
99241	Office consultation brief	$66.15	295,664	712

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Office Visit cost in Martinsburg, WV?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Martinsburg, WV is $40.48 per claim, based on 523,147 claims from 197 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Office Visit in Martinsburg, WV?

There are 197 Medicaid providers offering Office Visit related services in Martinsburg, WV according to public payment data.

What is the price range for Office Visit in Martinsburg, WV?

Medicaid reimbursement for Office Visit in Martinsburg, WV ranges from $0.00 to $229.68 per claim, with an average of $40.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Martinsburg, WV: $40.48

Providers Offering Office Visit in Martinsburg, WV

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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